Unique Plan Description: NICU Eye Exam (WH)
Plan Selection Display: NICU Eye Exam (WH)
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2011-12-06 13:40:33
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2023-01-11 13:56:49
Available at all facilities: No

NICU Eye Exam (WH)
Medications
	proparacaine 0.5% ophthalmic solution
		1 gtt, Soln, EYE, BOTH, Once
			Comment: Place at bedside
	Cyclomydril ophthalmic solution
		1 gtt, Soln, EYE, BOTH, Q5MIN, T;N, 2 Dose(s)/Time(s)
	GenTeal Tears Severe ophthalmic gel
		1 appl, Gel, Eye, Both, Once
			Comment: on-call to the bedside for NNP use
	cyclopentolate 0.5% ophthalmic solution
		1 gtt, Soln, EYE, BOTH, Q5MIN, T;N, 2 Dose(s)/Time(s)
			Comment: Administer with Phenylephrine drops
	phenylephrine ophthalmic  2.5% solution
		1 gtt, Soln, EYE, BOTH, Q5MIN, T;N, 2 Dose(s)/Time(s)
			Comment: Administer with Cyclopentolate drops
	tropicamide 1% ophthalmic solution
		1 gtt, Solution, Eye, Both, Once
			Comment: On-call to the bedside for NNP use.
Consults/Follow-up
	Consult Ophthalmologist
		Reason for Referral: Anatomic Anomaly, Refer to/Consult with: Dr. Robert Troia or Sebastian Troia
		Reason for Referral: Retinopathy Of Prematurity, Refer to/Consult with: Dr. Paul Rychwalski

*Report Legend:
DEF - This order sentence is the default for the selected order
GOAL - This component is a goal
IND - This component is an indicator
INT - This component is an intervention
IVS - This component is an IV Set
NOTE - This component is a note
Rx - This component is a prescription
SUB - This component is a sub phase